IAF Mandatory Document for the Application of ISO/IEC in Medical Device Quality Management Systems (ISO 13485)

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IAF MD 8:2011. International Accreditation Forum, Inc.(IAF) IAF Mandatory Document IAF Mandatory Document for the Application of ISO/IEC 17011 in Medical Device Quality Management Systems (ISO (IAF MD 8:2011) Issued: 15 July 2011 Application Date: 15 July 2012 IAF MD 8:2011 Application of

IAF MD 8:2011 International Accreditation Forum, Inc. Page 2 of 17 The International Accreditation Forum, Inc. (IAF) operates programs for the accreditation of bodies that provide conformity assessment services. Such accreditation facilitates trade and reduces demand for multiple certification. Accreditation reduces risk for business and its customers by assuring them that accredited Conformity Assessment Bodies (CABs) are competent to carry out the work they undertake within their scope of accreditation. Accreditation Bodies (ABs) which are members of IAF and their accredited CABs are required to comply with appropriate international standards and IAF mandatory documents for the consistent application of those standards. AB members of the IAF Multilateral Recognition Arrangement (MLA) conduct regular evaluations of each other to assure the equivalence of their accreditation programs. The IAF MLAs operate at two levels: The accreditation of CABs to standards including ISO/IEC 17021 for management systems certification bodies, ISO/IEC 17024 for personnel certification bodies and ISO/IEC Guide 65 for product certification bodies, is considered a framework MLA. A framework MLA provides confidence that accredited CABs are equally reliable in the performance of conformity assessment activities. The accreditation of CABs that also includes the specific conformity assessment standard or scheme as a scope of accreditation provides confidence in the equivalence of certification. The IAF MLA delivers the confidence needed for market acceptance of certification. An organization or person with certification to a specific standard or scheme that is accredited by an IAF MLA signatory AB can be recognized worldwide thereby facilitating international trade. Issue No 1 Prepared by: IAF Technical Committee Date: 26 April 2011 Approved by: IAF Members Date: 3 June 2011 Issue Date: 15 July 2011 Application Date: 15 July 2012 Name for Enquiries: John Owen, IAF Corporate Secretary Contact: Phone: +612 9481 7343; Email: secretary1@iaf.nu Issued: 15 July 2011 Application Date : 15 July 2012 IAF MD 8:2011 Application of

IAF MD 8:2011 International Accreditation Forum, Inc. Page 3 of 17 Introduction to IAF Mandatory Documents The term should is used in this document to indicate recognised means of meeting the requirements of the standard. An Accreditation Body (AB) can meet these in an equivalent way. The term shall is used in this document to indicate those provisions which, reflecting the requirements of the relevant standard, are mandatory. Issued: 15 July 2011 Application Date : 15 July 2012 IAF MD 8:2011 Application of

IAF MD 8:2011 International Accreditation Forum, Inc. Page 4 of 17 17011 in Medical Device Quality Management Systems (ISO This document shall be read in conjunction with ISO/IEC 17011 and IAF/ILAC-A5:2009, Application of ISO/IEC 17011:2004. All clauses of ISO/IEC 17011:2004 continue to apply and this document provides additional criteria to that standard. This mandatory document is exclusively for accreditation of bodies certifying to ISO 13485. 0. INTRODUCTION ISO/IEC 17011 is an International Standard that sets out the requirements for bodies operating accreditation systems for conformity assessment bodies. The objective of this document is to enable accreditation bodies to harmonize their application of ISO/IEC 17011 for the accreditation of bodies providing audit and certification to ISO 13485. This document provides normative criteria on the application of ISO/IEC 17011 for the accreditation of bodies providing certification of organization s management system to ISO13485. This document follows the structure of ISO/IEC 17011. IAF normative criteria are identified by the letters MD followed with a reference number that incorporates the related requirements clause in ISO/IEC 17011. In all cases a reference in the text of this document to "clause " refers to a clause in ISO/IEC 17011 unless otherwise specified. 1. SCOPE This document specifies normative criteria for accreditation bodies assessing and accrediting CABs which provide audit and certification against ISO 13485, in addition to the requirements contained with ISO/IEC 17011. It is also appropriate as a requirements document for the peer evaluation process for the IAF Multilateral Recognition Arrangement (MLA) among accreditation bodies. 2. NORMATIVE REFERENCES For the purposes of this document, the normative references given in ISO/IEC 17011 and the following apply. For dated references, only the edition cited applies. For undated references, the latest edition of the referenced document (including any amendments) applies. Issued: 15 July 2011 Application Date : 15 July 2012 IAF MD 8:2011 Application of

IAF MD 8:2011 International Accreditation Forum, Inc. Page 5 of 17 ISO/IEC 17011 Conformity Assessment - general requirements for accreditation bodies accrediting conformity assessment bodies. ISO13485 regulatory purposes Medical devices Quality management systems Requirements for IAF/ILAC A5 IAF/ILAC Multi-Lateral Mutual Recognition Arrangements (Arrangements): Application of ISO/IEC 17011:2004 IAF GD3:2003 Guidance on Cross Frontier Accreditation 3. TERMS AND DEFINITIONS MD 3.14: Regulatory Authority A government agency or other entity that exercises a legal right to control the use or sale of medical devices within its jurisdiction, and may take enforcement action to ensure that medical device products marketed within its jurisdiction comply with legal requirements. National Regulatory Authority Regulatory Authority in the country where the AB is registered as a legal entity. Note: Within the European Medical Devices Regulation the Regulatory Authority as defined above is titled Competent Authority. 4. ACCREDITATION BODY 4.1 Legal responsibility 4.2 Structure 4.3 Impartiality MD 4.3.2 Interested parties may include manufacturers or manufacturer associations, CABs, nongovernmental organizations (NGOs), Regulatory Authorities or other organizations and users. 4.4 Confidentiality 4.5 Liability and financing Issued: 15 July 2011 Application Date : 15 July 2012 IAF MD 8:2011 Application of

IAF MD 8:2011 International Accreditation Forum, Inc. Page 6 of 17 4.6 Accreditation activity 5. MANAGEMENT 5.1 General 5.2 Management system 5.3 Document control 5.4 Records 5.5 Nonconformities and corrective actions 5.6 Preventive actions 5.7 Internal audits 5.8 Management reviews MD 5.8.2 Feedback from interested parties of clause 5.8.2 d) shall include any feedback received from Regulatory Authorities. 5.9 Complaints 6. HUMAN RESOURCES Issued: 15 July 2011 Application Date : 15 July 2012 IAF MD 8:2011 Application of

IAF MD 8:2011 International Accreditation Forum, Inc. Page 7 of 17 6.1 Personnel associated with the accreditation body 6.2 Personnel involved in the accreditation process MD 6.2.1 Normative Annex 2 specifies the type of knowledge and skills that the accreditation body shall define for specific functions. 6.3 Monitoring 6.4 Personnel records 7. ACCREDITATION PROCESS 7.1 Accreditation criteria and information 7.2 Application for accreditation 7.3 Resource review 7.4 Subcontracting the assessment 7.5 Preparation for assessment MD 7 5.6 In the cases of initial assessment and reassessment, witnessing of audits shall include the higher risk class of the covered under the scope of accreditation. When developing a witnessing schedule, the accreditation body should consider, among other factors, the experience of the CAB e.g. recognized for one or more medical device regulatory scheme in an effort to rationalize the witnessing schedule. Typical regulatory schemes are the European Medical Devices Directives: Issued: 15 July 2011 Application Date : 15 July 2012 IAF MD 8:2011 Application of

IAF MD 8:2011 International Accreditation Forum, Inc. Page 8 of 17 - Medical Device Directive (MDD) - In -Vitro Diagnostic Devices Directive (IVD) - Active Implantable Medical Devices Directive (AIMD) Other jurisdictions include: - Canada Health Canada, Canadian Medical Devices Conformity Assessment System (CMDCAS) - Australia Therapeutic Goods Administration, Therapeutic Goods Regulations Additionally other countries are adopting or considering adopting ISO 13485 into their Medical Device Regulations. 7.6 Document and record review 7.7 On-site assessment 7.8 Analysis of findings and assessment report 7.9 Decision-making and granting accreditation MD 7.9.5 The accreditation certificate shall indicate the scope of accreditation which should clearly specify the as defined in Annex 1 Scope of Accreditation. To include within the scope of accreditation, devices that are sterile or intended for end-user sterilization, the certification body shall be competent according to sterilization process detailed in Table 1.5 of Annex 1. 7.10 Appeals 7.11 Reassessments and surveillance MD 7.11.2 Issued: 15 July 2011 Application Date : 15 July 2012 IAF MD 8:2011 Application of

IAF MD 8:2011 International Accreditation Forum, Inc. Page 9 of 17 The surveillance on-site office assessments should be conducted at least once a year where higher risk medical devices are concerned. Surveillance and reassessment shall include witnessing. Witnessing shall take into account all the (shown in Annex 1) of activities under the scope of accreditation. 7.12 Extending accreditation 7.13 Suspending, withdrawing or reducing accreditation 7.14 Records on CABs MD 7.14.3 Records on the CAB shall additionally include concerns, opinions and feedback from Regulatory Authority on the performance of the CAB pertaining to the scope of accreditation. 7.15 Proficiency testing and other comparisons for laboratories 8. RESPONSIBILITIES OF THE ACCREDITATION BODY AND THE CAB 8.1 Obligations of the CAB 8.2 Obligations of the accreditation body 8.3 Reference to accreditation and use of symbols Issued: 15 July 2011 Application Date : 15 July 2012 IAF MD 8:2011 Application of

IAF MD 8:2011 International Accreditation Forum, Inc. Page 10 of 17 Annex 1 Scopes of Accreditation (Normative) Medical Devices Important Note for the application of the Tables: The accreditation certificate issued by the AB shall use only the Main and listed below. When using technical areas other than specified below as scope of accreditation, the technical areas shall be detailed. Table 1.1 - NON-ACTIVE MEDICAL DEVICES Main Technical Areas Non-active Medical Devices Product Categories Covered by the General non-active, non-implantable Non-active devices for anesthesia, medical devices emergency and intensive care Non-active devices for injection, infusion, transfusion and dialysis Non-active orthopedic and rehabilitation devices Non-active medical devices with measuring function Non-active ophthalmologic devices Non-active instruments Contraceptive medical devices Non-active medical devices for disinfecting, cleaning, rinsing Non-active devices for in vitro fertilisation (IVF) and assisted reproductive technologies (ART) Non-active implants Non-active cardiovascular implants Non-active orthopedic implants Non-active functional implants Non-active soft tissue implants Devices for wound care Bandages and wound dressings Suture material and clamps Other medical devices for wound care Issued: 15 July 2011 Application Date : 15 July 2012 IAF MD 8:2011 Application of

IAF MD 8:2011 International Accreditation Forum, Inc. Page 11 of 17 Non-active dental devices and accessories Non-active medical devices other than specified above Non-active dental devices/equipment and instruments Dental materials Dental implants Issued: 15 July 2011 Application Date : 15 July 2012 IAF MD 8:2011 Application of

IAF MD 8:2011 International Accreditation Forum, Inc. Page 12 of 17 Table 1.2 - ACTIVE (NON-IMPLANTABLE) MEDICAL DEVICES Main Technical Areas Active Medical Devices (Non-Implantable) Product Categories Covered by the General active medical devices Devices for extra-corporal circulation, infusion and haemopheresis Respiratory devices, devices including hyperbaric chambers for oxygen therapy, inhalation anaesthesia Devices for stimulation or inhibition Active surgical devices Active ophthalmologic devices Active dental devices Active devices for disinfection and sterilisation Active rehabilitation devices and active prostheses Active devices for patient positioning and transport Active devices for in vitro fertilisation (IVF) and assisted reproductive technologies (ART) Software Devices for imaging Devices utilizing ionizing rays Devices utilizing non-ionizing rays Monitoring devices Monitoring devices of non-vital physiological parameters Monitoring devices of vital physiological parameters Devices for radiation therapy and Devices utilising ionizing radiation thermo therapy Devices utilising non-ionizing radiation Devices for hyperthermia / hypothermia Devices for (extracorporal) shockwave therapy (lithotripsy) Active (non-implantable) medical devices other than specified above Issued: 15 July 2011 Application Date : 15 July 2012 IAF MD 8:2011 Application of

IAF MD 8:2011 International Accreditation Forum, Inc. Page 13 of 17 Table 1.3 - ACTIVE IMPLANTABLE MEDICAL DEVICES Main Technical Areas Active Implantable Medical Devices General active implantable medical devices Implantable medical devices other than specified above Product Categories Covered by the Active implantable medical devices for stimulation / inhibition Active implantable medical devices delivering drugs or other substances Active implantable medical devices substituting or replacing organ functions Table 1.4 - IN VITRO DIAGNOSTIC MEDICAL DEVICES Main Technical Areas In Vitro Diagnostic Medical Devices (IVD) Reagents and reagent products, calibrators and control materials for: Clinical Chemistry Immunochemistry (Immunology) Haematology/Haemostasis/Immunoh ematology Microbiology Infectious Immunology Histology/Cytology Genetic Testing In Vitro Diagnostic Instruments and software IVD medical devices other than specified above Product Categories Covered by the Table 1.5 STERILIZATION METHODS FOR MEDICAL DEVICES Main Technical Areas Sterilization Method for Medical Devices Ethylene oxide gas sterilization (EOG) Moist heat Aseptic processing Radiation sterilization (e.g. gamma, x-ray, electron beam) Product Categories Covered by the Issued: 15 July 2011 Application Date : 15 July 2012 IAF MD 8:2011 Application of

IAF MD 8:2011 International Accreditation Forum, Inc. Page 14 of 17 Sterilization method other than specified above Table 1.6 DEVICES INCORPORATING / UTILIZING SPECIFIC SUBSTANCES / TECHNOLOGIES Main Product Categories Covered by the Devices incorporating/utilizin g specific substances/ technologies Medical devices incorporating medicinal substances Medical devices utilizing tissues of animal origin Medical devices incorporating derivates of human blood Medical devices utilizing micromechanics Medical devices utilizing nanomaterials Medical devices utilizing biological active coatings and/or materials or being wholly or mainly absorbed Issued: 15 July 2011 Application Date : 15 July 2012 IAF MD 8:2011 Application of

IAF MD 8:2011 International Accreditation Forum, Inc. Page 15 of 17 Annex 2 (Normative) Required types of knowledge and skills for personnel involved with the IAF ISO 13485 activities The following table specifies the type of knowledge and skills that AB shall define for specific functions. Accreditation functions Application review Document review Office assessment team Witness assessment team Reviewing assessment reports and making accreditation decisions Knowledge and skills Principles and applications of quality systems. Understanding of applicable GHTF SG4 and SG3 documents. Understanding of relevant medical device management system standards Understanding of general regulatory requirements relevant to medical device manufacturers. Overview of medical devices, their intended use, safety and risks. The legal framework, including the regulatory requirements, their enforcement, and the role of the auditing organization. Information on CAB s client products, processes and organization to determine competence needed by the audit team and for the certification decision Information on CAB s processes and organization to determine competence needed by the assessment team and for the accreditation decision Understanding CAB s client s products, processes and organization Ability to confirm that the CAB s processes are appropriate to support IAF ISO 13485 scheme. (Note 1) ( Note 1) Administering program Issued: 15 July 2011 Application Date : 15 July 2012 IAF MD 8:2011 Application of

IAF MD 8:2011 International Accreditation Forum, Inc. Page 16 of 17 Ability to confirm that the CAB is competent to conduct a certification of the manufacturers, taking into account the processes and products involved. Ability to determine required appropriate duration of assessment. Identification of medical devices including complexities, technologies, intended use and risk classifications. Deployment of assessor competences and requirements. Knowledge on identifying and evaluating factors that impact an appropriate certification program for a medical device manufacturer seeking certification in a regulatory environment. Understanding of work performed at an accredited CAB. Understanding of IAF Mandatory Documents for ISO 13485 scheme Understanding of ISO/IEC 17021 Understanding of ISO 13485 NOTE 1: It is expected that the level of understanding for this activity would be less than that of an assessment team. End of 17011in Medical Device Quality Management Systems (ISO Issued: 15 July 2011 Application Date : 15 July 2012 IAF MD 8:2011 Application of

IAF MD 8:2011 International Accreditation Forum, Inc. Page 17 of 17 Further Information For further Information on this document or other IAF documents, contact any member of IAF or the IAF Secretariat. For contact details of members of IAF see - IAF Web Site - <http://www.iaf.nu> Secretariat - John Owen, IAF Corporate Secretary, Telephone +612 9481 7343 email <secretary1@iaf.nu> Issued: 15 July 2011 Application Date : 15 July 2012 IAF MD 8:2011 Application of